Effectively dissolves Struvite uroliths. Increases volunatry water uptake leading to understaturated urine, unfavorable to development of both struvite and oxalate crystals
Indications
Bacterial cystitis
Dissolution of struvite uroliths
Management of recurrent struvite & calcium oxalate urolithiasis
Contraindications
Pregnancy, lactation and growth
Chronic renal failure, metabolic acidosis
Pancreatitis or history of pancreatitis
Hyperlipidaemia
Heart failure
Use of urine-acidifying drugs